| NPI | 1437708625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5236-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6870) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2021-07-13 |